摘要
目的：比较腹腔镜联合胆道镜与传统开腹手术治疗胆总管结石的效果。方法：2006至2008年我院为36例患者行腹腔镜胆总管切开取石术,并与同期80例开腹手术对比。结果：36例腹腔镜手术均获成功,无中转开腹,手术时间100~160m in,出血30~80m l,住院时间、术后镇痛药使用次数、腹腔或切口感染率、残石率明显减少。结论：腹腔镜联合胆道镜胆总管切开取石术治疗胆总管结石安全有效,与传统开腹手术相比具有患者创伤小、痛苦轻、康复快、住院时间短等微创效果,如能在取净结石后行胆总管Ⅰ期缝合,微创效果则更为明显。
Objective：To compare the therapeutic effect of laparoscopic choledocholithotomy combined with choledochoscopy in treatment of choledocholithiasis with traditional open surgery.Methods：From 2006 to 2008,36 patients underwent laparoscopic choledocholithotomy in our hospital,and their clinical data were compared with 80 patients who underwent laparotomy in the same time.Results：Laparoscopic operations of 36 cases were successful,operative time was 100-160min,blood loss was 30-80ml,hospital stay,postoperative analgesia dose,infection of abdominal cavity and incision,remnant calculus were dramatically decreased,and no laparoscopy converted to laparotomy.Conclusions：Laparoscopic choledocholithotomy combined with choledochoscopy in treatment of choledocholithiasis is safe and effective.Compared with conventional laparotomy,its mini-invasive effect is dramatic,which is shown as slight trauma and pain,short hospital stay and quick recovery.The mini-invasive effect is more significant if common bile duct is primarily sutured after calculi are completely removed.
出处
《腹腔镜外科杂志》
2009年第11期853-854,共2页
Journal of Laparoscopic Surgery
